Dr. Robert Freed

CT
Second Take: Must patients really be warned of radiation risk?
Should radiologists be required to get informed consent from patients before they undergo medical imaging procedures involving radiation? In this Second Take column, radiologists from the University of Pittsburgh assert that such notification is not only burdensome, it undermines the delivery of quality medical care.
December 17, 2013
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Stroke Evt
Interventional
EVT promising in patients with extracranial ICA occlusions
Endovascular thrombectomy (EVT) and best medical treatment are both effective and safe options for patients with acute extracranial internal carotid artery occlusions.
Images depict a 49-year-old female participant with cryptogenic cirrhosis who presented with a 3.2-cm liver lesion. This biopsy-confirmed hepatocellular carcinoma (HCC) with an initial categorization of Liver Imaging Reporting and Data System (LI-RADS) category LR-4 (probably HCC) at CT was upgraded to LR-5 (definitely HCC) at contrast-enhanced ultrasound (CEUS). (A) Precontrast CT images in the liver show vague hypoattenuation in the medial left hepatic lobe (arrows). (B) Arterial phase images demonstrate no definite arterial phase hyperenhancement (arrows). (C) Washout and an enhancing capsule (arrows) on a late-phase image resulted in an LR-4 categorization. (D) B-mode ultrasound shows a round hypoechoic nodule (arrows). (E) An early-phase CEUS image shows clear arterial-phase hyperenhancement (arrows); (F) No washout at one minute (arrows), and (G) late, mild washout at four minutes (arrows) resulted in a CEUS LR-5 categorization.
Ultrasound
CEUS resolves indeterminate CT, MRI liver observations
Ctca
Molecular Imaging
PET/CT can rule out CAV in heart transplant patients
Lung Ct Images
CT
Machine learning can predict immunotherapy response in NSCLC patients
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Economics
Current topics in mammography
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EVT promising in patients with extracranial ICA occlusions
By Will Morton
Endovascular thrombectomy (EVT) and best medical treatment are both effective and safe options for patients with acute extracranial internal carotid artery occlusions.
January 21, 2025
Stroke Evt
CEUS resolves indeterminate CT, MRI liver observations
By Amerigo Allegretto
Contrast-enhanced ultrasound (CEUS) can resolve some high-risk indeterminate liver observations initially seen on CT or MRI.
January 21, 2025
Images depict a 49-year-old female participant with cryptogenic cirrhosis who presented with a 3.2-cm liver lesion. This biopsy-confirmed hepatocellular carcinoma (HCC) with an initial categorization of Liver Imaging Reporting and Data System (LI-RADS) category LR-4 (probably HCC) at CT was upgraded to LR-5 (definitely HCC) at contrast-enhanced ultrasound (CEUS). (A) Precontrast CT images in the liver show vague hypoattenuation in the medial left hepatic lobe (arrows). (B) Arterial phase images demonstrate no definite arterial phase hyperenhancement (arrows). (C) Washout and an enhancing capsule (arrows) on a late-phase image resulted in an LR-4 categorization. (D) B-mode ultrasound shows a round hypoechoic nodule (arrows). (E) An early-phase CEUS image shows clear arterial-phase hyperenhancement (arrows); (F) No washout at one minute (arrows), and (G) late, mild washout at four minutes (arrows) resulted in a CEUS LR-5 categorization.
PET/CT can rule out CAV in heart transplant patients
By Will Morton
Cardiac PET/CT scans can effectively rule out moderate to severe cardiac allograft vasculopathy (CAV) in heart transplant patients.
January 17, 2025
Ctca
Machine learning can predict immunotherapy response in NSCLC patients
By Kate Madden Yee
Machine learning (ML) can help clinicians predict immunotherapy response in patients with inoperable non-small cell lung cancer (NSCLC).
January 17, 2025
Lung Ct Images
Current topics in mammography
By Sandy Coffta
Sandy Coffta of Healthcare Administrative Partners discusses changes in reporting and reimbursement for mammography exams.
January 17, 2025
Coffta Sandy Thumbnail
Surgeon General's alcohol advisory puts patient counseling at the fore
By Amerigo Allegretto
Patient communication and education may be key for radiologists in the wake of the Surgeon General’s advisory on alcohol-related cancer risk.
January 17, 2025
Wine Red Glass 400
FAPI-PET shows promise for imaging gastric cancers
By Will Morton
Gallium-68 fibroblast activation protein inhibitor (FAPI) PET/CT is a promising new method for imaging gastric cancer.
January 16, 2025
Fapi Pet Gastric Cancer Thumbnail
CEM has slightly higher mean glandular dose than DBT, mammography
By Amerigo Allegretto
Contrast-enhanced mammography (CEM) has a slightly higher mean glandular dose than other breast imaging modalities.
January 16, 2025
Contrast Injector
ACS: Cancer mortality continues to drop
By Kate Madden Yee
Cancer mortality rates continue to drop -- although incidence of the disease is rising in women, according to an annual study released by the ACS.
January 16, 2025
Cancer Cell Target2
POCUS useful for diagnosis of retained conception tissue
By Amerigo Allegretto
Point-of-care ultrasound (POCUS) can be a useful tool for diagnosing the presence of retained conception tissue.
January 15, 2025
Ultrasound Portable
Top 5 predictions for the imaging IT and AI markets in 2025
By Amy Thompson
Amy Thompson of Signify Research shares five predictions for the Imaging IT and AI markets in a new column.
January 15, 2025
2025 Trends Concept
Simulated contrast-enhanced MRI helps assess prostate cancer
By Kate Madden Yee
Simulated contrast-enhanced MR images from noncontrast sequences using deep learning show promise for assessing clinically significant prostate cancer.
January 15, 2025
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